Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 047720 | CT |
N | 207VX0201X | Gynecologic Oncologist | 200601009 | NC |
Y | 207VX0201X | Gynecologic Oncologist | R1869 | TX |
NPI | 1538378856 |
---|---|
Provider Name | Aaron Shafer |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 29/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001477207 | (05) | CT |
371018801 | (05) | TX |
8GR878 | BCBS (01) | TX |